Zahava G Roth, PA-C, RD is a medicare enrolled "Physician Assistant - Medical" provider in Chicago, Illinois. Her current practice location is
1300 W Devon Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 751-7850.
Zahava G Roth is licensed to practice in Illinois (license number 085.010009) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033751169.
Healthcare Provider's Profile
Full Name | Zahava G Roth |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1300 W Devon Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033751169
- Provider Enumeration Date: 10/09/2019
- Last Update Date: 10/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042666729
- Enrollment ID: I20231101001572
Medical Identifiers
Medical identifiers for Zahava G Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033751169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164009188 (Illinois) | Secondary |
363AM0700X | Physician Assistant - Medical | 085.010009 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zahava G Roth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Zahava G Roth, PA-C, RD 2831 W Fitch Ave, Chicago, IL 60645-2905 Ph: (773) 595-6678 | Zahava G Roth, PA-C, RD 1300 W Devon Ave, Chicago, IL 60660-1302 Ph: (773) 751-7850 |
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